How much rates vary
Facilitymedian $2,630 · 10th to 90th $309 to $5,754Professionalmedian $437 · 10th to 90th $214 to $1,479
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $14,454.40 | Facility | None | $181.97 | $281.84 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $1,380.38 | Professional | None | $181.97 | $281.84 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $691.83 Typical High $1,737.80 | Professional | None | $239.88 | $691.83 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $676.08 Typical High $1,122.02 | Facility | None | $309.03 | $676.08 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $676.08 | Professional | None | $223.87 | $346.74 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $3,090.30 Typical High $5,370.32 | Facility | None | $234.42 | $3,090.30 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $676.08 | Professional | None | $288.40 | $446.68 | $676.08 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $2,187.76 Typical High $4,786.30 | Facility | None | $316.23 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $1,202.26 Typical High $1,862.09 | Professional | None | $316.23 | $1,202.26 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $676.08 | Professional | None | $407.38 | $602.56 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $524.81 | Facility | None | $177.83 | $281.84 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $537.03 Typical High $954.99 | Professional | None | $251.19 | $537.03 | $954.99 |
Quartz Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $1,122.02 | Facility | None | $302.00 | $457.09 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $416.87 | Professional | None | $223.87 | $346.74 | $416.87 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $954.99 | Professional | None | $602.56 | $602.56 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,288.25 | Professional | None | $645.65 | $933.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $199.53 Median $371.54 Typical High $1,122.02 | Professional | None | $199.53 | $371.54 | $1,122.02 |
16 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $141.25 | Facility | 52 · Reduced service | $91.20 | $91.20 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $56.23 | Facility | 53 · Discontinued | $36.31 | $36.31 | $56.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $134.90 Median $134.90 Typical High $208.93 | Facility | 54 · Surgery only | $134.90 | $134.90 | $208.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $42.66 | Facility | 55 · Aftercare only | $26.92 | $26.92 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $28.18 | Facility | 56 · Pre-op care only | $18.20 | $18.20 | $28.18 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $125.89 Typical High $194.98 | Facility | 78 · Unplanned return to OR | $125.89 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $141.25 Typical High $758.58 | Professional | 52 · Reduced service | $91.20 | $141.25 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $56.23 Typical High $302.00 | Professional | 53 · Discontinued | $36.31 | $56.23 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $208.93 Typical High $1,148.15 | Professional | 54 · Surgery only | $134.90 | $208.93 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $42.66 Typical High $229.09 | Professional | 55 · Aftercare only | $26.92 | $42.66 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.18 Typical High $151.36 | Professional | 56 · Pre-op care only | $18.20 | $28.18 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $194.98 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $125.89 | $194.98 | $1,071.52 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $223.87 Typical High $338.84 | Professional | 51 · Multiple procedures | $141.25 | $223.87 | $338.84 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $354.81 Typical High $549.54 | Professional | 54 · Surgery only | $229.09 | $354.81 | $549.54 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $89.13 Typical High $138.04 | Professional | 55 · Aftercare only | $57.54 | $89.13 | $138.04 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $371.54 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $239.88 | $371.54 | $575.44 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 3rd of 51
$501
AK $646TX $178
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.